Provider Demographics
NPI:1144437500
Name:ESTRIN, FELIX (DDS)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:
Last Name:ESTRIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10721 QUEENS BLVD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4451
Mailing Address - Country:US
Mailing Address - Phone:718-793-1155
Mailing Address - Fax:718-261-7162
Practice Address - Street 1:10721 QUEENS BLVD
Practice Address - Street 2:SUITE 2A
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4451
Practice Address - Country:US
Practice Address - Phone:718-793-1155
Practice Address - Fax:718-261-7162
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0448921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01428748Medicaid